NPI | 1730475674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MN 55254) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 55254) |
Enumeration Date | 2011-06-20 |
Last Update Date | 2020-08-11 |